Individual
KRISHNA M BHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 TECH PARK DR, JOHNSTOWN, PA 15901-2515
(814) 475-8600
(814) 475-8666
Mailing address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 410-8300
(814) 410-8331
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD035242E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001159797
—
PA
01
—
130643
PA BLUE SHIELD
PA
Enumeration date
06/15/2006
Last updated
10/17/2014
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